Individual
ANGELA ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4205 N 7TH AVE STE 307, PHOENIX, AZ 85013-3080
(602) 522-2595
(602) 258-4996
Mailing address
1730 W THOMAS RD, PHOENIX, AZ 85015-6177
(602) 522-2595
(602) 258-4996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11010
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847767
—
AZ
Enumeration date
01/17/2007
Last updated
09/27/2018
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